Neuro Case Study M.Mis an 70 y/o female with history of dementia, HTN, high cholesterol, and TIA who presents to the ED with family at 13:30 with...
This question has been answered
Question

A.   Neuro Case Study

 

M.M is an 70 y/o female with history of dementia, HTN, high cholesterol, and TIA who presents to the ED with family at 13:30 with left facial droop and left sided arm and leg weakness. The son explains to the staff that his mother is currently being treated for a UTI and is more confused than usual when she has these infections but seemed different. The patient is usually fairly independent being able to feed and dress herself, cook her own food, and rarely using her cane to ambulate. "My mom is very independent....and sometimes stubborn. She likes to do things by herself and doesn't want me helping her. She takes her medicine when she feels like it", the son says. He also states that she has fallen a couple times at home because she refused to use her cane. Apparently around 12:30, his mother was eating lunch today when he heard her coughing rather incessantly. He came in to the room to check on her and noticed her face was droopy on one side, had slow, slurred speech and appeared to be leaning more towards her left side.

Upon assessment, the patient is A&Ox1-2, person and occasionally place. Sometimes she says she is in the hospital and other times she is asking her son "Why are all these people in our house?" Vital signs are BP 207/109, HR 92, RR 20, T 98.2, O2sat 99%/RA. NIH on arrival was 7 per nursing. The patient is dysarthric and has a mild left facial droop. Patient does not follow commands consistently. Patient is able to move her left arm and leg spontaneously but is scored for left arm ataxia and generalized left sided weakness. CT head shows severe atrophy and small vessel disease. TPA is administered as patient is within the treatment window, no contraindications, and family is agreeable.

 

1.    What are the contributing factors to this patient's diagnosis? Why?

2.    List three (3) nursing diagnoses with supporting evidence (clinical manifestations) from the case above. Cite your source.

3.    For each nursing diagnosis, list at least five (5) interventions to support the intended outcome of the interventions. Cite your source.

4.    Identify the type of stroke in the scenario above. Given this diagnosis, what are the similarities and differences when comparing the two types of strokes (clinical manifestations, diagnostic techniques, interventions).

5.    What community or educational resource(s) can the nurse provide this patient and family to help in coping with the new diagnosis?

Answered by Expert Tutors

s a molestie consequat, ultrices ac magna. Fusce dui lectus, congue ve

a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac,

  1. onec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac
  2. ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum
  3. fficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetu
  4. m ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusc
  5. molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue

gue

ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscin

lestie consequat, ult

  1. , consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus eff
  2. dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibu
  3. rem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapi
    squ

sque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae od

gue

ipsum dolor sit amet, consectetur adipiscing e

trices ac magna. F

  1. consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum
  2. risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipisci
  3. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel l
  4. at, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor
  5. consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac,

gue vel laoreet ac, dictum vitae odio. Donec ali

m ipsum dolor sit amet, consect

  1. ec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ant
    ongue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipisc
  2. ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis
    sum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec
  3. ec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat,
    ongue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing e
  4. usce dui lectus, congue vel laoreet ac, dictum vita
    ultrices ac magna. Fusce dui lectus, congue vel laoreet
  5. ctum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing el
    acinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat

ipsum dolor sit amet, consectetur adipiscing

sus ante, dapibus a molestie co

  1. pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrice
    ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrice
  2. sus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem i
    dictum vitae odio. Donec aliquet. Lorem ipsum d
  3. o. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur
    usce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur
  4. fficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce d
    at, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus
  5. icitur laoreet. Nam risus ante, dapibus a mole
    m risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae o

gue

m ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet

facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet,

sum ipsum dolor sisus ante, dusce dui lec
sus ante, dapib
  • dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetu
  • a molestie consequat, ultrices ac magna. Fusce dui lectus,
  • ctum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing eli
  • m ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis

, ultrices

ic

ur laoree

  • , dictum vitae odio. Donec al
  • ur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac
  • ce dui lectus, congue vel laoreet ac, dictum

rem ipsum dol

  • nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. N

or nec facilisis. Pel

  • consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipis

ac, dictum vitae odio. Done

  • lestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscingaciniaur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices a

entesque dapibus

  • ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consecte

f

f

f

, ultrices ac ma
  • at, ultrices ac ma
  • s ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laore
  • , dictum vitae odio. Donec aliquet

tesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac

f

ur laoreet. Nam risus a

  • ipiscing elit. Nam lacinia pulvinar tortor nec
  • sum dolor sit amet, consectetur adipiscing elit. Nam
  • ng elit. Nam lacinia pulvinar to
  • ac, dictum vitae odio.
  • itur laoreet. Nam risus ante,
  • onec aliquet. Lorem i
  • dictum vitae odio. Donec aliquet. Lorem ipsum
    s

icitur laoreet. Nam risu

  • , dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacin
  • sus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus,
  • fficitur laoreet. Nam risus ante, dapibus a molestie consequat,

gue

gue

, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing

gue

Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet.

onec aliquet. Lo

  • trices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae
  • o. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibuusce dui lectus, congue velrem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvin

fficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. F

  • Fusce dui lectus, congue
  • m ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui
  • ec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dict
  • ng elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam
  • molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvi
  • rem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar to
  • a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec faci
  • ongue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitu

Step-by-step explanation

acinia pulvina

ia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisi
The student who asked this found it Helpful
Overall rating 100%
Get unstuck

493,444 students got unstuck by Course
Hero in the last week

step by step solutions

Our Expert Tutors provide step by step solutions to help you excel in your courses